To determine why right side that hurts around the waist from behind, the patient will visit the doctor and undergo a series of diagnostic studies. Especially if the discomfort prevents the exercise of normal motor activity is accompanied by debilitating symptoms. Almost half of the disease, characterized by right-sided pain, is grounds for immediate surgery. Other pathologies associated with an unpleasant feeling, it should be treated immediately because of the risk of their transition in long-form.
That might hurt in the right side at waist level
At waist level is a lot of bodies that can come pain. These include the liver, kidneys, pancreas, intestines. Also the doctor is considering the development of problems with the spine and back muscles. Discomfort causes inflammatory, infectious, neoplastic, destructive, erosive process. Sometimes unpleasant feeling is a consequence of irradiation – when the range of the damage is another part of the body, and the pain covers the waist area.
Localization of pain
On the back
Violation of the structure of the spine, inflammation of muscles, kidney damage being the localization of the pain. These include nephroptosis, renal colic, myositis, osteochondrosis. Also listed pathology may be combined.
Under the front edge
Specified localization of the discomfort manifested pathology of the hepatobiliary system (liver, gall bladder and biliary tract). Pain spastic fencing. The main pathologies include liver cirrhosis, the presence of concrements in the gallbladder, cholecystitis, hepatitis.
Pain in right side and smacks down belly
These symptoms are accompanied by appendicitis, ectopic pregnancy, colitis (inflammation of the colon). It looks like the location discomfort occurs when the ovarian cyst, ectopic pregnancy.
Diseases of the liver and gallbladder
In 70% of cases the search for reasons why ache right side around waist from behind, lead to the identification of problems with the hepatobiliary system. Abdominal ultrasound and complaints of the characteristic symptoms allow you to quickly differentiate the pathology of the liver and gallbladder.
Cholecystitis
The characteristic features of cholecystitis:
- Bitter taste in the mouth
- The presence of white or gray plaque on the tongue
- Regular bloating
- The tension of the anterior abdominal wall
- Diarrhea, regardless of the nature of food intake
- A feeling of heaviness in the right hypochondrium
- Regurgitation of food, heartburn
- The pain of the herpes type, or localized in the right side
Cholelithiasis
Pathology is characterized by formation of stones inside the gallbladder. The causes of the disease – the abuse of fatty, salty and spicy foods, pastries and meats. The intake of alcohol, caffeine, acidic fruit drinks, yogurt also leads to the formation of stones. Sedentary lifestyle, genetic predisposition and helminthiasis.
After a bumpy ride or other factors stones inside the gall bladder can change the position, which is accompanied by discomfort, bitter taste in the mouth, nausea. The overall condition is complemented by neurological disorders – patients restless, shouting, preventing inspection. The cause of the behavior – severe pain, which, in conjunction with other signs, is the definition of "biliary colic".
Hepatitis
Inflammation of the liver, which develops as a result of entering viruses in the body, abuse of fatty foods, alcohol, medicines. Also found in autoimmune hepatitis. The common symptoms for all forms of liver injury – hyperthermia, weakness, lack of appetite, heaviness in the right hypochondrium, yellowing of the skin and sclera. If the disease for a long time not to stop – it takes a prolonged duration, leading to the development of cirrhosis.
Cirrhosis of the liver
Liver, which leads to the destruction of the parenchyma. Hard and dangerous condition that occurs because of drug, alcohol intoxication, long-term hepatitis.
Characteristic features:
- Weakness, lethargy, lack of appetite
- Exacerbation of facial contours
- The accumulation of fluid in the abdominal cavity
- The appearance of spider veins on the face
- Weight loss
- Yellowing of the skin and sclera
- Diarrhea, hypovitaminosis, anemia, thereby reducing the pressure level, paleness and dizziness
Kidney disease and urinary tract
Kidney damage have symptoms coincide with the symptoms of intestinal diseases, pathologies of the spine and violations of the condition of the reproductive system. To exclude other diseases need to undergo ultrasonography of the abdomen and pelvic.
Pyelonephritis
Symptoms:
- Pain zoster nature, radiating to the suprapubic region
- Changing color and smell of urine
- The increase in body temperature to high numbers
- Frequent urination
- Nausea turning into vomiting
The disease affects mostly women.
Nephroptosis
Is a prolapse of the kidney, caused by the weakening of its relationships. Favorable factors – heavy physical work, multiple pregnancy, infectious-inflammatory process, is transferred to a back injury. The tone of the ligaments that holds the kidney has been detrimental and rapid weight loss. The main symptom of the disease – pain at waist level that persists in the supine position.
Glomerulonephritis
Is a lesion of the glomerular apparatus of the kidneys. Occurs through a stay in a humid environment, viral infections, weak immune system. Reducing the protective properties of the organism contributes to:
- hypothermia
- low-quality food
- recent blood transfusion
- transferred surgery
- seasonal hypovitaminosis
Urolithiasis
Symptoms moving the stone by Department of the ureter (renal colic):
- Pain zoster nature
- Burning in the urethra
- Hypertension caused by renal artery compression (when the calculus is located uncomfortable and can't go outside)
- Nausea turning into vomiting
- A slight increase in body temperature accompanied by chills, high intensity
- The appearance of blood in the urine (caused by injury to the walls of the urethra stones)
Bowel problems
Pain syndrome is the main manifestation of inflammation, the presence of a lesion, the formation of ulcers in the intestinal tissues. Bowel problems can be caused by a violation of diet, past injuries of the abdomen, poisoning, changes in the microflora. Positive aspects – excessive production of cleansing enemas, problems of emotional nature, helminthiasis.
Appendicitis
Inflammation of the appendage of the cecum. Favorable factors – changes in intestinal microflora, the blockage of the Appendix by the tumor, parasites. Symptoms – sharp pain, localized in the right hypochondrium with the transition to the lower abdomen and the area around the navel. Unpleasant feeling is colicky, then there is a vomiting, rise in body temperature to high numbers, weakness, intense production of sweat. The Appendix is filled with a Muco-purulent content, you know.
Inflammatory processes in the intestine
Occur due to unhealthy eating habits, intoxication, alcoholism, wrong mode of the day.
Symptoms of pathology:
- The accumulation of intestinal gas
- Unpleasant taste in mouth before and after eating
- Loud intestinal peristalsis, leading to diarrhea
- An unpleasant sensation in the abdomen, right upper quadrant
- The presence of mucus in the stool
- Lack of appetite
Colon cancer
Symptoms of colon cancer:
- Abdominal pain when you go back
- The emergence of constipation with increasing tumor (it blocks the passage of stool through the intestines)
- The appearance of streaks of blood and pus in the stool
- The increase in body temperature up to high levels
Diseases of the spine
The most common lesions of the spine, which causes pain at waist level, lumbar degenerative disc disease.
The reasons for the thinner cartilage tissue of intervertebral discs:
- Sedentary lifestyle, prolonged stay in the same position
- Metabolic disorder
- Tall, extra weight
- Performing repetitive stereotypical movements
- The weakness of the muscular system
Diseases of the reproductive sphere
According to the clinical manifestations of the disease sexual sphere resemble the signs of intestinal inflammation. The same localization of the pain and 70% of symptoms, the presence of which the patient complains. To exclude the presence of lesions of the gastrointestinal tract, perform abdominal ultrasound and optionally EGD.
Ectopic pregnancy
The symptoms of the condition:
- Pain in the lower abdomen, but only on one side
- Bleeding from the vagina (if there is a violation of the integrity of the Department, which is a fertilized egg)
- Dizziness and weakness, the decline blood pressure
- Loss of consciousness
Women with diagnosed ectopic pregnancy hospitalitynet in the Department of gynecology for the operation.
Cyst right ovary
Neoplasm that arises within the tissues on the reproductive system in women. Has the appearance of a bubble with serous or purulent contents. The size of the tumors varies depending on the individual characteristics of the female body.
Factors leading to the development of cysts:
- Frequent curettage (including abortion), abortion in other ways
- Hormonal disorders caused by irregular sexual life
- Inflammatory processes of the reproductive system
- The presence of endometriosis
- Implantation of intrauterine devices at the beginning of sexual life
- The factor of hereditary predisposition
To what doctor to address
In all cases, the discomfort should visit a therapist. The doctor will examine, prescribe passing hardware and radiological methods of diagnosis. Based on the primary causes, the patient is referred to specialized professionals.
| Specialty physician | What disease, the doctor eliminates | Preferred types of treatment |
| Gynecologist | Resolves pathology that cause discomfort in the right side: ovarian cyst, endometriosis, ectopic pregnancy. | These pathologies are docked surgically. Attempts to inhibit the growth of cyst hormonal products only in 10% of cases lead to a positive result. |
| Urologist | Eliminates the pyelonephritis, glomerulonephritis, neoplastic processes of the kidney. | Mostly conservative, but large stones eliminate with lithotripsy, and tumors in addition to other methods that are still operational. |
| Spine | Treats patients of both sexes, who suffer from back problems. | By a conservative treat pain attacks the lungs and inflammation. Operation – the method used in severe cases. Spine appoints auxiliary methods of treatment – the use of bandages and corsets, visit to swimming, performing therapeutic exercises. |
| Gastroenterologist | Relieves inflammation of the intestines, polyps, hepatitis, cholecystitis, cirrhosis of the liver. Involved in the preparation of the treatment of tumor processes of the gastrointestinal tract. | Predominantly conservative |
| Surgeon | Treats emergency conditions that caused right-sided pain in the waist from the back (appendicitis, gall stones). | Mostly operational |
| Oncologist | This specialist visit in the direction not only from the therapist but also from doctors narrow profile. Is preparing the treatment of neoplastic processes in various organs (bowel, uterus, ovaries). | Chemotherapy, radio wave, hormonal effects |
| Neurologist | Conducts therapy in relationship to the discomfort in the side and myositis. | Very conservative methods |
Diagnosis
To establish correct diagnosis of patients directed to passing a comprehensive examination. Depending on the anticipated pathology, it is necessary to obtain the response of laboratory, instrumental and instrumental examinations, among which:
- Bacteriological analysis of urine (culture)
- Biochemical blood
- Ultrasonography, methods, complicated ray imaging (MRI, CT)
- Excretory urography
- Clinical examination of blood, urine
- Cystoscopy
- X-ray examination
- EGD
Treatment
Pyelonephritis, adnexitis treated with antibiotics, anti-inflammatory drugs. Urolithiasis requires an individual approach. Modern urology allows to achieve elimination of stone without performing incisions. The cyst is removed surgically. Cropped low back pain non-steroidal anti-inflammatory drugs, vitamins of group B. Appendicitis, ectopic pregnancy is the indication for immediate surgery.Glomerulonephritis is treated with antibiotics, vitamins, immunomodulators.
Prevention
To avoid dysfunction of the digestive or urogenital tract, it is recommended to do the following:
- Not SuperCool, refuse from swimming in contaminated bodies of water
- To fully interact with the hygiene
- Orderly sex life – no random sexual relations
- To stop drinking alcohol, to normalize the conditions of work and life
- To take a course of vitamins in the off-season
It is equally important to stop thinking of abortion as a method of contraception and to choose the best method of protection from unwanted pregnancy. To eliminate all of the risks of hormonal fluctuations, emotional stress, exhausting physical work, lack of sleep. You should also review the quality and diet – to reduce the amount of salty, fatty and acidic foods. Extra weight creates additional stress on bones and joints, contributes to development of multiple violations in the activities of the body. Therefore, it is desirable to normalize body weight.